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KELSEANNE BREDER
NPI 1548716392
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since August 31, 2016PECOS Enrolled
100 HAVEN AVE, 25D, NEW YORK, NY 10032(407) 697-6254 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2018, Aug 31, 2016 (2 updates tracked since 2016).

About Kelseanne Breder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEANNE BREDER (NPI 1548716392) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (402383) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548716392
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELSEANNE BREDER
Location Address100 HAVEN AVE, 25DNew York, NY 10032
Mailing Address100 Haven Ave, 25dNew York, NY 10032-2645 · (407) 697-6254
Phone(407) 697-6254
Sole ProprietorYes
Enumeration DateAugust 31, 2016
Last NPPES UpdateJuly 30, 20182 updates tracked since enumeration
✔ NPI 1548716392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402383
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 709514 (NY)
100 HAVEN AVE, New York, NY 10032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelseanne Breder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARGARITA PAPPAS D.D.S.
Dentist (General Practice)
100 HAVEN AVE, APT 30 E
NEW YORK, NY 10032
New York County (212) 927-2155
MR. JOSEPH MARSALLO
Student in an Organized Health Care Education/Training Program
100 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 305-6100
SCHONMEI WU
Student in an Organized Health Care Education/Training Program
100 HAVEN AVE, APARTMENT 23F
NEW YORK, NY 10032
New York County (713) 435-9214
DR. STEPHEN SHOU-CHING KAM M.D.
Student in an Organized Health Care Education/Training Program
100 HAVEN AVE, APT. 11D
NEW YORK, NY 10032
New York County (917) 601-0356
DR. COLIN TAO MENG PSYD, LCSW
Psychologist (Clinical)
100 HAVEN AVE
NEW YORK, NY 10032
New York County (310) 435-8690
STEPHANIE CHRISTINA JANKLY
Registered Nurse
100 HAVEN AVE, APT 16D
NEW YORK, NY 10032
New York County (626) 226-8733
SHANNON SULLIVAN DDS
Dentist
100 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 342-0107
DR. CHRISTINE MARIE O'HEA DMD MDS
Dentist (Orthodontics and Dentofacial Orthopedics)
100 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 342-0107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelseanne Breder's NPI number?

The NPI number for Kelseanne Breder is 1548716392. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Kelseanne Breder located?

Kelseanne Breder practices at 100 Haven Ave 25D, New York, NY 10032. The listed phone number is (407) 697-6254.

What is Kelseanne Breder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelseanne Breder enrolled in Medicare?

Yes. Kelseanne Breder is registered in the Medicare PECOS enrollment system.

What insurance does Kelseanne Breder accept?

Health plans from Providence Health Plan list Kelseanne Breder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelseanne Breder was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.